American Journal of Nursing Science

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Effect of Implementing an Educational Module About Inhaler Use on Severity of Dyspnea and Adherence to Inhalation Therapy Among Patients with Chronic Obstructive Pulmonary Disease

Received: 01 December 2016    Accepted: 15 December 2016    Published: 28 January 2017
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Abstract

One of the most important routes for medication administration to treat chronic obstructive pulmonary disease patients is the inhaled one. If this method is not proper, medications will not be effective. The aim of this study was to determine the effect of implementing an educational module about inhaler use on severity of dyspnea and adherence to inhalation therapy among patients with chronic obstructive pulmonary disease. A purposive sample of 140 patients with COPD was selected and divided randomly and alternatively into two equal groups, 70 in each. The study was conducted at Chest department and Medical outpatient clinics of Menoufia University and Shebin El-Kom Teaching Hospitals. Five tools were utilized for data collection: Structural interview questionnaire, Bristol COPD knowledge questionnaire, Pressurized metered dose inhaler performance observational checklist, Shortness of breath questionnaire and Morisky Medication adherence scale. Results: 62.9% of study group and 54.3% of control group complained of severe dyspnea pre education, while 44.3% of study group and 54.3% of control group still complained of severe dyspnea one month post education. The improvement of dyspnea among study group than control group was not significant. However medication adherence was significantly improved among study group compared to control group post education. Conclusion: educational module about inhaler use significantly led to improve medication adherence and decrease dyspnea severity however the difference in dyspnea severity among both groups is not significant. Recommendations: Patient's education about correct inhaler use should be ongoing process for all COPD patients and the correct use of inhaler should be observed throughout patient's life.

DOI 10.11648/j.ajns.20170601.16
Published in American Journal of Nursing Science (Volume 6, Issue 1, February 2017)
Page(s) 40-52
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Effect, Educational Modules, Inhaler Use, Dyspnea, Inhalation Therapy Adherence, Obstructive Pulmonary Disease

References
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Author Information
  • Department of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt

  • Department of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Shebin El-Kom, Egypt

  • Department of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Shebin El-Kom, Egypt

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  • APA Style

    Soheir M. Weheida, Manal E. Fareed, Samah E. Masry. (2017). Effect of Implementing an Educational Module About Inhaler Use on Severity of Dyspnea and Adherence to Inhalation Therapy Among Patients with Chronic Obstructive Pulmonary Disease. American Journal of Nursing Science, 6(1), 40-52. https://doi.org/10.11648/j.ajns.20170601.16

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    Soheir M. Weheida; Manal E. Fareed; Samah E. Masry. Effect of Implementing an Educational Module About Inhaler Use on Severity of Dyspnea and Adherence to Inhalation Therapy Among Patients with Chronic Obstructive Pulmonary Disease. Am. J. Nurs. Sci. 2017, 6(1), 40-52. doi: 10.11648/j.ajns.20170601.16

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    AMA Style

    Soheir M. Weheida, Manal E. Fareed, Samah E. Masry. Effect of Implementing an Educational Module About Inhaler Use on Severity of Dyspnea and Adherence to Inhalation Therapy Among Patients with Chronic Obstructive Pulmonary Disease. Am J Nurs Sci. 2017;6(1):40-52. doi: 10.11648/j.ajns.20170601.16

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  • @article{10.11648/j.ajns.20170601.16,
      author = {Soheir M. Weheida and Manal E. Fareed and Samah E. Masry},
      title = {Effect of Implementing an Educational Module About Inhaler Use on Severity of Dyspnea and Adherence to Inhalation Therapy Among Patients with Chronic Obstructive Pulmonary Disease},
      journal = {American Journal of Nursing Science},
      volume = {6},
      number = {1},
      pages = {40-52},
      doi = {10.11648/j.ajns.20170601.16},
      url = {https://doi.org/10.11648/j.ajns.20170601.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20170601.16},
      abstract = {One of the most important routes for medication administration to treat chronic obstructive pulmonary disease patients is the inhaled one. If this method is not proper, medications will not be effective. The aim of this study was to determine the effect of implementing an educational module about inhaler use on severity of dyspnea and adherence to inhalation therapy among patients with chronic obstructive pulmonary disease. A purposive sample of 140 patients with COPD was selected and divided randomly and alternatively into two equal groups, 70 in each. The study was conducted at Chest department and Medical outpatient clinics of Menoufia University and Shebin El-Kom Teaching Hospitals. Five tools were utilized for data collection: Structural interview questionnaire, Bristol COPD knowledge questionnaire, Pressurized metered dose inhaler performance observational checklist, Shortness of breath questionnaire and Morisky Medication adherence scale. Results: 62.9% of study group and 54.3% of control group complained of severe dyspnea pre education, while 44.3% of study group and 54.3% of control group still complained of severe dyspnea one month post education. The improvement of dyspnea among study group than control group was not significant. However medication adherence was significantly improved among study group compared to control group post education. Conclusion: educational module about inhaler use significantly led to improve medication adherence and decrease dyspnea severity however the difference in dyspnea severity among both groups is not significant. Recommendations: Patient's education about correct inhaler use should be ongoing process for all COPD patients and the correct use of inhaler should be observed throughout patient's life.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Effect of Implementing an Educational Module About Inhaler Use on Severity of Dyspnea and Adherence to Inhalation Therapy Among Patients with Chronic Obstructive Pulmonary Disease
    AU  - Soheir M. Weheida
    AU  - Manal E. Fareed
    AU  - Samah E. Masry
    Y1  - 2017/01/28
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ajns.20170601.16
    DO  - 10.11648/j.ajns.20170601.16
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 40
    EP  - 52
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20170601.16
    AB  - One of the most important routes for medication administration to treat chronic obstructive pulmonary disease patients is the inhaled one. If this method is not proper, medications will not be effective. The aim of this study was to determine the effect of implementing an educational module about inhaler use on severity of dyspnea and adherence to inhalation therapy among patients with chronic obstructive pulmonary disease. A purposive sample of 140 patients with COPD was selected and divided randomly and alternatively into two equal groups, 70 in each. The study was conducted at Chest department and Medical outpatient clinics of Menoufia University and Shebin El-Kom Teaching Hospitals. Five tools were utilized for data collection: Structural interview questionnaire, Bristol COPD knowledge questionnaire, Pressurized metered dose inhaler performance observational checklist, Shortness of breath questionnaire and Morisky Medication adherence scale. Results: 62.9% of study group and 54.3% of control group complained of severe dyspnea pre education, while 44.3% of study group and 54.3% of control group still complained of severe dyspnea one month post education. The improvement of dyspnea among study group than control group was not significant. However medication adherence was significantly improved among study group compared to control group post education. Conclusion: educational module about inhaler use significantly led to improve medication adherence and decrease dyspnea severity however the difference in dyspnea severity among both groups is not significant. Recommendations: Patient's education about correct inhaler use should be ongoing process for all COPD patients and the correct use of inhaler should be observed throughout patient's life.
    VL  - 6
    IS  - 1
    ER  - 

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